Accreditation Audit AFT2 Task 2 Western Governors University

A. Provide a summary of the following aspects of a root cause analysis related to the sentinel event found in the attached Accreditation Audit Case Study Task 2 Specific artifacts by doing the following:

1. Describe the sentinel event. On Thursday, September 14, 2018 at 12:30 pm, a sentinel event occurred at the Nightingale Community Hospital Ambulatory Surgical Center in which a minor surgical patient was incorrectly discharged to a non-custodial parent. The patient, a three year-old female, initially presented to the hospital for a scheduled outpatient surgery in the care of her mother. The patient was registered by Katie Jessup, Registrar, according to policy. She was then escorted to the pre-operative area...